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A new dental scam is to pull healthy teeth to sell you expensive fake ones

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Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#91

When I was 11-12 or so an orthodontist attempted to remove one of my last remaining baby tooth without my parents knowledge and without anesthetic so he could sell my parents on braces. After causing a bloody mess he gave up and the tooth remained in use for some time after. Absolute psychopath.

Wow, that sounds traumatic

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#92

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

> This might sound stupid but I refuse to go to dentists that have "too nice" of an office.

Same thing with if they have a fancy website - like a Squarespace site that looks like a Brooklyn restaurant and uber professional headshots.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#93

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

This is absolutely, absolutely great advice. A couple decades ago I went to a "dental spa", and they definitely over treated. They did this thing where they shined a laser at my teeth and said I had "pre-cavities", so I needed treatment (I think it was some sort of sealant).

I went to another dentist who basically said this was all bullshit. He said the whole concept of "pre-cavities" wasn't really a useful diagnostic category for treatment in the first place. That is, I went to the dentist every six months, and if they saw, for example, any thinning of the enamel, they would just watch it (because proper care can often prevent it from getting worse), and if it did develop into a cavity, they would fill it. But there was absolutely no need to pre-treat if a cavity wasn't there, and since I saw the dentist every six months they would catch anything before it became severe.

I'm so happy I've found a conservative but highly competent dentist. But it took a lot of looking. Dentists can essentially "create their own demand" if they need to, so I think one of the biggest risks in finding a dentist is that so many of them have a strong incentive to overtreat.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#94
~15 years ago I had a sequence of 4 scam dentists in a row before deciding never to do that again. Based on the other comments it appears that I was not the only one. The first visit felt like a scam so I got a second opinion which found a new completely different set of problems, so I got a third opinion and a fourth with absolutely no consistency and each recommending a completely different set of expensive treatments and all of them feeling like scams.

I think I was luckly that I did at one point go to a good dentist who told me things like teeth can naturally have dimples which are generally nothing to worry about - so I was suspicious when a later dentist told me I really had to worry about them. The initial good dentist did recommend a sand blasting and sealant of the groves in molars as a long term preventative procedure. As he explained it fluoride hardens teeth and changes the wear patters causing these issues where pockets of bacteria are hard to get to and can later cause cavities. He didn't sell it as some sort of necessity but as something that he thought was generally a good idea to do and his explanation did convince me. It was a simple, inexpensive and painless procedure which I believe was effective and I think should be a widespread default. I don't know who I'd trust to do the science on that though.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#96

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

This is absolutely, absolutely great advice. A couple decades ago I went to a "dental spa", and they definitely over treated. They did this thing where they shined a laser at my teeth and said I had "pre-cavities", so I needed treatment (I think it was some sort of sealant). I went to another dentist who basically said this was all bullshit. He said the whole concept of "pre-cavities" wasn't really a useful diagnosti…

When I first came to Ithaca I went to the dentist who came first in the phone book and found he wanted to do too much of everything including take pano X rays even though I had no problems.

It was bad enough I didn't go to a dentist for another two years and when I did I got a recommendation from the department secretary. I'm still seeing that dentist although I don't actually see the dentist (as opposed to the hygienist) unless I've actually got a problem.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#98

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

Huge amount of fraud in the dental space, even in places like NYC.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#99

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

You maybe should be looking more at location than the office amenities. A dentist on a popular shopping street may be relying on foot traffic to bring in patients. A dentist who’s buried in a neighborhood might get more word of mouth referrals.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#100
My parents spent around $16k in 80s money on orthodontics. The US Navy dentist took a look at the two more years of treatment thor orthodontist had planned and said you can do that or we can just pull these two teeth and everything will slide into place. He also said the entire braces + retainer treatment wasn't needed. A few decades later I can confirm he was right. Be careful with dentists
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